Active NPI
Kathleen Jordan MD PC
- Clinical Social Worker
- Scottsdale, AZ
National Provider Identifier
1366033656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- KATHLEEN JORDAN MD PC
- Practice address
- 15051 N Kierland Blvd Ste 200
Scottsdale, AZ 85254-8161 - Phone
- (332) 203-0933
- NPI assigned
- Jan 29, 2021
- Organization subpart
- Yes
- Parent organization
- KATHLEEN JORDAN MD PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tom Barnes
- Title
- VP, Payer Strategy & Revenue Cycle
- Phone
- (973) 943-0967
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Acupuncturist | 171100000X | |||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
15051 N Kierland Blvd Ste 200
Scottsdale, AZ 85254-8161
Mailing address
30 E 23Rd St Ste 700
New York, NY 10010-4408
Phone (973) 943-0967
National Provider Directory
National Provider Directory- Tax ID family
- Kathleen Jordan MD PC
- Part of
- Kathleen Jordan MD PC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Social Worker
- San Francisco, CA
- NPI 1013592393
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043802937
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1144836826
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1518542877
Locations
15051 N Kierland Blvd
Ste 200
Scottsdale, AZ 85254
Phone (332) 203-0933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638144000000",
"number": "1366033656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E 23RD ST STE 700",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104408",
"telephone_number": "973-943-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15051 N KIERLAND BLVD STE 200",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852548161",
"telephone_number": "332-203-0933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHLEEN JORDAN MD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KATHLEEN JORDAN MD PC",
"enumeration_date": "2021-01-29",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "VP, PAYER STRATEGY & REVENUE CYCLE",
"authorized_official_telephone_number": "973-943-0967",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.